HomeMy WebLinkAboutZP-19-045 - 2026 Williston Road 2/27/2019CITY OF SOUTH BURLINGTON
Z O N I N G PERM IT APPLICATION
Applicant:
Applicant Mailing Address:
Applicant Email:
lication No: m - o 4
„-, ! [office use only]
Daytime phone:609 ''L3�5-c 32
Property StreetAddress:oX0� L�%i�t5�L�i�% At � �7-'C� Lfec �G VT05403
Property Owner: 7Z14K/ '_V Parcel Size: ®F3 Mt_�Y-6�
of
Property Owner Mailing Address:
Tax Parcel ID No.
1. PROPOSED project including building dimensions (describe): �V''e
�t�►Zrvy , T _ V�! l l C v Oe "TO Z% 09-- T29P 2 4- W r ►J DO 6-J Ara 1 o0B'e, 0 (Z.
Pr,�i C)_Vo 3 2 F-O tZ P4-ASV S 3_ + 2 W 1141 c ►+ IDo r�OT_ N
W���"6 W�A>� atwc-+ o•l rNc► ep6oa. .4�PsicArNr WIL' ��'flti voa.
Oresent E(S) of the property: S 15�pq.(Z4�,-I
Pe 2+M r r F-o 2 py , 3 W 1A1-LW.I. W t L� 2,rr9 v l
O Single family home on its own parcel W N p, pq.t ��-
/ O Other (please state the USE per Land Development Regulations- retail, general office, multifamily residential, etc.):
3. List all
present structure(s) on property (describe including dimensions or square footage of each):
�- 4. Does he project inclu e a proposed change o USE?
06 No (the property will still be used for the same purpose)
O Yes (please state proposed changed or added USES per Land Development Regulations- retail, general
office, multifamily residential, etc.):
5. ESTIMATED total cost of improvements (materials and labor): $ ;i/xm
6. Building footprint - i.e. size in sq. ft. of main floor of house and all attach d and detached structures in ding enclosed
breezeways, garages, and sheds (describe): Existing: �� Proposed:
7. Total square feet of other impervious surfaces on site (i.e. driveways, patios, decks)
Existing: 022&ye% Proposed: 11—;5
8 1TTACH SKETCH PLAN OR SITE PLAN (not required if project consists ONLY of interior renovations or replacement of
.xisting roof, siding, etc. in the exact same size)
9. APPLICANT/OWNER CERTIFICATION
The undersigned property owner hereby consents to submit this application and understands that if the application is approved,
the Z ing Permit and any attached conditions will be binding on the property.
roperty Owner Sig r re RINT NAME Date
The unders' ned applicant hereby affirms that the information presented in this application is true, accurate and complete.
P W_� 2 - 2
A p p I i c a it Si knarure PRINT NA E Date
OFFICE
USE ONLY — ADMINISTRATIVE OFFICER ACTION — OFFICE USE ONLY
DATE Received: Z 1 2�1 I 1 FEE Received: $ Identification of zoning district:
Identification of proposed use:
PROPOSED USE TYPE:
Date of SITE PLAN approval/denial
Date of SUBDIVISION approval/ denial
Date of CONDITIONAL USE approval/ denial
Date of appeal VARIANCE approval/ denial
Date of MISCELLANEOUS approval/ denial
Permitted
Conditional
Approval Date Denial Date
Approval Date
Denial Date
Approval Date Denial Date
Approval Date Denial Date
Approval Date Denial Date
❑ Provided applicant copy of URBEC or VCBE Standards Handbook or VNot Applicable
IN APPROVED 2 I
FINAL ADMINISTRATIVE OFFICER ACTION
O N 1 N G P E R M I T
J-3 - �4�
Approval Date Administrative Officer's Signature
Permit EFFECTIVE date 3 l 1 `'�' 119 Permit EXPIRATION date 2 ! 2�
❑ DENIED REASON for DENIAL
Denial Date
Administrative Officer's
Notice of Appeal Rights: Any interested person may appeal this decision by filing a written Notice of Appeal with the clerk of the
Development Review Board within fifteen [151 days of the date of this decision. The notice of appeal must be accompanied by a filing
fee of $223.00.
This permit does NOT authorize commencement of any development activity approved by the permit until the permit takes
effect as set forth above. Site modifications and improvements made prior to this permit becoming effective may be subject to rem(
and site restoration if a timely appeal is commenced.
NOTE: The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this project. Call
(802) 477-2241 to speak with the regional Permit Specialist.